Adapting Problem Management Plus for Implementation: Lessons Learned from Public Sector Settings Across Rwanda, Peru, Mexico and Malawi
Adapting Problem Management Plus for Implementation: Lessons Learned from Public Sector Settings Across Rwanda, Peru, Mexico and Malawi
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DOI：
10.4103/intv.intv_41_20
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发表时间：
2021-01-01
影响因子：
1.4
通讯作者：
Smith, Stephanie L.
中科院分区：
文献类型：
--
作者：
Coleman, Sarah F.;Mukasakindi, Hildegarde;Smith, Stephanie L.
Problem Management Plus(PM+)是世界卫生组织开发的一种低强度心理干预措施，可由非专家提供，以解决受逆境影响的人的常见心理健康问题。新出现的证据表明，PM+在一系列环境中都是有效的。然而，已发表的文献很少记录心理干预对背景或文化的适应过程，包括课程或实施适应。对于心理健康实施者来说，在保持对核心心理要素的忠诚度的同时，使PM+适应背景的实用指导是必要的，以使其能够复制和扩大。本文描述了国际非政府组织健康伙伴组织在卢旺达、秘鲁、墨西哥和马拉维实施PM+的背景调整过程。据我们所知，这项倡议是与卫生部合作，使PM+适应多个公共部门初级保健和社区环境的常规提供的首批举措之一。吸取的经验教训有助于更广泛地了解使低强度心理干预措施适应现实世界情况的有效进程。
Problem Management Plus (PM+) is a low-intensity psychological intervention developed by the World Health Organization that can be delivered by nonspecialists to address common mental health conditions in people affected by adversity. Emerging evidence demonstrates the efficacy of PM+ across a range of settings. However, the published literature rarely documents the adaptation processes for psychological interventions to context or culture, including curriculum or implementation adaptations. Practical guidance for adapting PM+ to context while maintaining fidelity to core psychological elements is essential for mental health implementers to enable replication and scale. This paper describes the process of contextually adapting PM+ for implementation in Rwanda, Peru, Mexico and Malawi undertaken by the international nongovernmental organisation Partners In Health. To our knowledge, this initiative is among the first to adapt PM+ for routine delivery across multiple public sector primary care and community settings in partnership with Ministries of Health. Lessons learned contribute to a broader understanding of effective processes for adapting low-intensity psychological interventions to real-world contexts.